Quality Assurance Manager
OVERVIEW:
Providing compassion and care isn’t just our profession at PHRI, it’s our passion…and culture. We care for the clients that we serve. We listen to them and provide the support that they need to enable them to live comfortable and fulfilling lives. Our drive is to restore hope and healing to the community. We are looking for mission driven professionals who want to join a transformational company with a big heart and make a difference in the community.
Currently serving over 1,500 patients in two different states and looking to grow to over 10,000 patients in 5 states, over the next 3-5 years. Its focus is advocating and implementing integrated care model approach to underserved population undergoing behavioral health related issues.
REPORTS TO:
CLASSIFICATION:
DATE APPROVED:
July 2025
LOCATION:
Washington D.C.
FTE
1.0
ENVIRONMENT/PHYSICAL DEMANDS
Standard Office / Sit, stand, walk, lift 15 lbs
POSITION SUMMARY:
The Quality Assurance (QA) Manager ensures that PHRI’s programs and services meet high standards of quality, safety, and compliance. This role is responsible for managing quality assurance systems, conducting audits, analyzing performance metrics, and developing continuous improvement initiatives. The QA Manager works cross-functionally with leadership and clinical teams to maintain accreditation standards (e.g., CARF, The Joint Commission), promote evidence-based practices, and foster a culture of accountability.
DUTIES AND RESPONSIBILITIES
- Develop and oversee the implementation of PHRI’s quality assurance and performance improvement (QAPI) program.
- Conduct regular internal audits, file reviews, and compliance checks to monitor adherence to regulatory standards.
- Analyze program performance data to identify trends, risks, and opportunities for improvement.
- Coordinate quality-related trainings for staff, including documentation standards and clinical best practices.
- Lead incident reviews and root cause analysis efforts, ensuring timely corrective actions are taken.
- Prepare for and support external accreditation and licensing audits.
- Collaborate with program leaders to implement quality benchmarks and outcome measures.
- Create and maintain quality dashboards and reports for executive leadership.
- Serve as the primary liaison with accrediting bodies and regulatory agencies.
- Bachelor’s degree in healthcare, social work, public health, or a related field required; master’s degree preferred.
- 5+ years of quality assurance, compliance, or performance improvement experience in a behavioral health or healthcare setting.
- Working knowledge of CARF, The Joint Commission, Medicaid/Medicare compliance, HIPAA, and 42 CFR Part 2.
- Experience with EMR systems and data analytics tools.
- Strong organizational, analytical, and communication skills.
- Proficiency in MS Office applications (Word, Outlook, Excel, Adobe) and various business software.
- Legally authorized to work in the U.S.A.
COMPETENCIES:
- Simplify complex issues; breaking down big problems into smaller, manageable tasks, and identifying the key priorities that will have the biggest impact on the business
- Delegate effectively; giving clear direction, setting expectations, and providing the necessary resources and support to help their teams succeed
- Predict future trends and challenges, staying up-to-date on industry developments, monitoring market trends, and seeking out new opportunities for growth and innovation.
- Systemize processes; identifying and eliminating inefficiencies, establishing clear workflows and procedures, and ensuring that everyone in the organization is aligned around the same goals.
- Structure organization for growth; defining clear roles and responsibilities, establishing a clear chain of command, and creating a culture of accountability and transparency.
AAP/EEO STATEMENT:
It is the policy of Prestige Healthcare Resources, Inc. to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Prestige Healthcare Resources, Inc. will provide reasonable accommodation for qualified individuals with disabilities.
